Ukufikisa kwangaphambili

Ukufikisa lixesha apho iimpawu zesini zomzimba zomntu zikhula. Ukufikisa kwangaphambili kuxa utshintsho lomzimba lwenzeka ngaphambi kwexesha eliqhelekileyo.

Ukufikisa kuhlala kuqala phakathi kweminyaka eyi-8 ukuya kwe-14 yamantombazana kunye neminyaka eli-9 ukuya kweli-16 kubafana.

Ubudala obuchanekileyo bokungena komntwana kwinqanaba lokufikisa buxhomekeke kwizinto ezininzi, kubandakanya imbali yosapho, isondlo, kunye nokwabelana ngesondo.

Rhoqo akukho sizathu sicacileyo sokufikisa ngaphambi kwexesha. Ezinye iimeko zibangelwa lutshintsho kwingqondo, iingxaki zemfuza, okanye amathumba athile akhupha iihomoni. Ezi meko zibandakanya:

• Ukuphazamiseka kwamatyhalarha, amaqanda, okanye amadlala eadrenal
• Ukudumba kwehypothalamus (hypothalamic hamartoma)
• Amathumba akhupha ihomoni ebizwa ngokuba chorionic gonadotropin (hCG)

Emantombazaneni, ukufikisa ngaphambi kwexesha kulapho kuqhubeka khona oku kulandelayo ngaphambi kweminyaka eyi-8:

• Ikhwapha okanye iinwele zasesidlangalaleni
• Ukuqala ukukhula ngokukhawuleza
• Amabele
• Ixesha lokuqala (ukuba sexesheni)
• Amalungu angaphandle avuthiweyo

Kumakhwenkwe, ukufikisa ngaphambi kwexesha kulapho kuqhubeka khona oku kulandelayo ngaphambi kobudala be-9:

• Ikhwapha okanye iinwele zasesidlangalaleni
• Ukukhula kovavanyo kunye nepenisi
• Iinwele zobuso, zihlala kuqala kumlomo ongasentla
• Ukukhula kwezihlunu
• Utshintsho kwilizwi (nzulu)

Umboneleli wezempilo uya kwenza uvavanyo lomzimba ukukhangela iimpawu zokufikisa ngaphambi kwexesha.

Uvavanyo olunoku-odolwa lubandakanya:

• Uvavanyo lwegazi ukujonga amanqanaba ehomoni.
• Ukuvavanywa kwe-CT okanye iMRI kwengqondo okanye kwesisu ukukhupha amathumba.

Kuxhomekeka kwisizathu, unyango lokufikisa ngaphambi kwexesha kunokubandakanya:

• Amayeza okuyekisa ukukhutshwa kwehomoni zesondo, ukuze kulibaziseke ukukhula komntu kwinqanaba lokufikisa. La mayeza anikezelwa ngenaliti okanye ngokudutyulwa. Baza kunikwa de bafikelele kwiminyaka yesiqhelo yokufikisa.
• Utyando lokususa ithumba.

Abantwana abanenkqubela phambili yesondo banokuba neengxaki zengqondo nezentlalo. Abantwana nolutsha bafuna ukufana noontanga babo. Ukukhula kwesondo kwangoko kunokubenza babonakale bahlukile. Abazali banokuxhasa umntwana wabo ngokuchaza imeko kunye nendlela ugqirha aceba ukuyinyanga ngayo. Ukuthetha nomsebenzi wezempilo yengqondo okanye umcebisi nako kunokunceda.

Abantwana abahamba ebusheni ngaphambi kwexesha banokungafiki kubude obupheleleyo ngenxa yokukhula kuyeke kwangethuba.

Jonga umboneleli womntwana wakho ukuba:

• Umntwana wakho ubonakalisa iimpawu zokufikisa ngaphambi kwexesha
• Nawuphi na umntwana ophethe ukukhula ngokwesondo kwangoko ubonakala enengxaki esikolweni okanye koontanga

Amayeza athile amiselweyo kunye nezongezo ezithile zinokuqulatha iihomoni kwaye kufuneka zithintelwe.

Umntwana wakho kufuneka agcine ubunzima obusempilweni.

I-Pubertas praecox

• Amadlala endocrine
• Iinkqubo zokuzala zamadoda nabasetyhini

I-Garibaldi LR, i-Chemaitilly W.Ukuphazamiseka kwengqondo ekuphuhliseni. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 578.

IHaddad NG, i-Eugster EA. Ukufikisa kwangaphambili. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 121.